NPI 1003649435
Cottage Glen Operations
Practice location
- Address
- 1892 N Aaron Dr, Tooele, UT 84074-8105
- Phone
- (435) 882-7990
- Mailing address
- 565 W 465 N STE 150, Providence, UT 84332-4803
Authorised official
- Name
- Kirsten E Bailey
- Title
- Owner
- Phone
- (435) 770-2157
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1003649435
- Entity type
- Organization
- NPI issued
- 21 Aug 2024
- Record last updated
- 21 Aug 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.